Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

Kirsh, Bonnie; Martin, Lori Schindel; Hultqvist, Jenny; Eklund, Mona

doi:10.1080/0164212x.2019.1588832

Cited by 58 publications

(37 citation statements)

References 56 publications

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“…(2006) designed the MOHOST with the idea of providing a simple outcome measure covering a range of occupational concepts as indicated by the MOHO. This finding confirms this notion, as well as previous study results (Fan, 2014; Fan et al., 2016; Kirsh et al., 2019). This is particularly important since there is a professional requirement for occupational therapists to be able to evidence the effectiveness of their interventions (Long et al., 2017).…”

Section: Discussionsupporting

confidence: 93%

Evaluating the use of the Model of Human Occupation Screening Tool in mental health services

Bugajska

Brooks

2020

British Journal of Occupational Therapy

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Introduction While the Model of Human Occupation Screening Tool has undergone psychometric development and testing and is widely used in mental health practice, only a few small-scale studies to date have examined its use in clinical practice. Method A national survey was conducted with United Kingdom occupational therapists working in mental health settings to evaluate the use of the Model of Human Occupation Screening Tool. The survey included the modified version of the Usefulness, Satisfaction, and Ease of Use (USE) questionnaire and two open-ended questions. The latter were coded through inductive content analysis and all responses were analysed using Statistical Package for the Social Sciences software. Results n=105 questionnaires were analysed. The Model of Human Occupation Screening Tool was found to be a useful tool, with most therapists scoring it favourably on the usefulness (74.7%), ease of use (76.1%), ease of learning (81.2%) and satisfaction (80.6%) subscales. It was praised as a valuable outcome measure, guiding interventions and providing a comprehensive overview of assessed individuals. Time consumption, inaccessible terminology and lack of sensitivity to change were indicated as possible downfalls. Conclusion Therapists valued the Model of Human Occupation Screening Tool as an assessment tool, but more importance should be placed on training to overcome some of the limitations identified here. Also, its suitability to the setting in which it is used should be considered before implementation in practice.

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Section: Discussionsupporting

confidence: 93%

Evaluating the use of the Model of Human Occupation Screening Tool in mental health services

Bugajska

Brooks

2020

British Journal of Occupational Therapy

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“…It is important to note that the behaviour change coaching component of this intervention, including action planning and coping strategies (e.g., self-talk), may be relevant to the tasks involved in these occupations. There is strong evidence supporting the use of behavioural strategies in the treatment and management of mental illness, especially in working toward functional recovery (Kirsh, Martin, Hultqvist, & Eklund, 2019; Spring et al, 2020). Our findings, in combination with past research (McFadden et al, 2017; Rosenbaum et al, 2014), show the value of providing PA training with behavioural coaching to change PA levels, mental health, and occupational performance.…”

Section: Discussionmentioning

confidence: 99%

Occupational Outcomes of a Physical Activity Intervention for Post-Secondary Student Mental Health

Nesbitt¹,

Collins²,

Nalder³

et al. 2021

Can J Occup Ther

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Background. Physical activity (PA) is a therapeutic approach to address post-secondary student mental health, yet the effect of PA on occupational outcomes has been understudied among students. Purpose. This study (1) identified and described occupational performance issues (OPIs) among post-secondary students seeking mental health support and (2) assessed pre- and post-intervention differences in occupational performance and performance satisfaction. Method. Using a single group pre-test post-test pilot study design, participants ( N = 20) completed a 6-week, 1-hour PA intervention. The Canadian Occupational Performance Measure was administered pre- and post-intervention. Findings. The most commonly reported OPIs included academics, PA, and sleep hygiene. There were significant improvements in participants’ occupational performance (mean change: 2.7, p < .001; dz = 2.28) and performance satisfaction (mean change: 3.7, p < .001; dz = 3.04). Implications. Results provide an initial demonstration of the benefits of PA for occupational outcomes within a post-secondary mental health context.

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“…Further research is warranted, but the COPM appears to be a possible assessment tool thus concurring with Hitch et al [14], who emphasized the need for occupational therapists to be familiar with instruments such as the COPM for assessing clients with depression prior to rehabilitation. However, due to a lack of research based on occupational therapy interventions for people with depression and anxiety disorders [51], it is reasonable to assume that clients from this target group are not always referred to occupational therapists, in spite of the potential benefit from this [52].…”

Section: Discussionmentioning

confidence: 99%

Occupational performance problems in people with depression and anxiety

Gunnarsson

Hedberg

Håkansson

et al. 2021

Scandinavian Journal of Occupational Therapy

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Background: Depression and anxiety often reduce people's ability to cope with everyday occupations. There is a lack of knowledge about such problems in people of working age with depression and anxiety. Aim: To describe which problems people with depression or anxiety disorders experience when performing everyday occupations and which occupations are affected. Materials and methods: Data based on the Canadian Occupational Performance Measure was used in this cross-sectional study. A total of 118 participants aged 18-65 years, with depression or anxiety, were recruited from primary healthcare and general mental healthcare services. The data were analysed with descriptive statistics and directed content analysis. Results: The participants rated a low level of occupational performance, and their satisfaction with performance even lower. They described a great number of problems with their everyday occupations. The most frequent problem areas concerned household management, socialization and personal care. Detailed descriptions of which type of problem they experienced during everyday occupations are included. Conclusions: This study provides knowledge of which problems people with depression and anxiety disorders experience in everyday occupations within self-care, productivity, as well as leisure. Furthermore, they rate performance and satisfaction with performance of the five occupations they find the most important to change in everyday life.

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Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

Cited by 58 publications

References 56 publications

Evaluating the use of the Model of Human Occupation Screening Tool in mental health services

Evaluating the use of the Model of Human Occupation Screening Tool in mental health services

Occupational Outcomes of a Physical Activity Intervention for Post-Secondary Student Mental Health

Occupational performance problems in people with depression and anxiety

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